Organization
IMPAKT MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT P MAJERNIK (VICE PRESIDENT)
(916) 844-7800
Entity
Organization
Contact information
Practice address
14125 CAPRI DR STE 8, LOS GATOS, CA 95032-1516
(408) 331-7773
(833) 227-8034
Mailing address
9722 FAIR OAKS BLVD STE B, FAIR OAKS, CA 95628-7039
(408) 480-5811
(833) 227-8034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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